| NPI | 1134570054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SIMPSON Practice Manager/Executive Director 219-525-4973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2019-08-14 |